KimT08

KimT08

wound care, hyperbaric nursing

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About KimT08

KimT08 specializes in wound care, hyperbaric nursing.


Latest Activity

  1. Terrible infection in pts foot

    In my experience I have seen patients with similar wounds and situations that you are describing heal and I have seen others who have not. This persons chances of healing depend on the control of his diabetes, his nutrition, the level of his infectio...
  2. wound vacs, NWPT what do you like?

    I do know that KCI has studies comparing the two therapies. I have personally used both and do not like the S&N version. I had a patient who had a wound that got worse after the LTC facility refused to get the KCI version and the surgeon I worked...
  3. when to muscle flap?

    My first question is why would this resident need a muscle flap if the wounds are progressing well with a wound vac? There are several factors you must consider prior to deciding if it is time for the flap. First of all this is never a nurses call ho...
  4. New Treatment Nurse

    There are several resources out there. The best place to start is with your sales reps. Healthpoint, KCI, Smith and Nephew all have online free educational tools. All sales reps usually have educational programs that they can offer you if your facili...
  5. Advice for new ADON

    Hello all, I have been out of a job for a while and even though I had applied at a lot of facilities the only place I was interviewed and offered a job was a local nursing home. I had to take the position because I needed the job. The position is an ...
  6. It's time.....let's talk support hose, shall we?

    As a wound care nurse I can tell you that you definately need support hose as we are more prone to venous stasis disease. A good support hose can help prevent that. If you are starting to experience swelling and discomfort you should go with a hose w...
  7. Should this situation be referred to a WOC nurse?

    As a wound care nurse I can tell you that yes your grandpa should be seen by a wound care nurse. While the burn nurses are experienced with wounds resulting from burns they are probably not very experienced with other types of wounds. It sounds as if...
  8. East TN

    There are only 2 associate degree programs that I know of in the area. One is at Northeast State www.northeaststate.edu and the other is at Walters State Community College which is about 45 minutes away from Johnson City.
  9. someone please clarify stage and tx

    Being in a hospital is helpful in that you usually have better access to things. Just let me know if you need any more help.
  10. need advice

    I know here in TN you would make more money being an EMT than a CNA. I guess the path you take depends on what your goals for the future are. If there is a VA hospital near you I would check there for a job as they give Veterans first priority and ha...
  11. a "bad" wound

    Nutrition is important to consider. Could this be a kennedy terminal ulcer? They typically occur when a patient is getting near the end of life. If the wound is infected you could try using 1/4 strength Dakin's solution. I have tried this before when...
  12. someone please clarify stage and tx

    Silvadene is an antimicrobial but it is somewhat unique in that it will penetrate necrotic tissue. It is not a debrider but can be used when there is necrotic tissue present in an infected wound. I personally do not use Silvadene a lot. I mostly use ...
  13. Resume Question

    Yes you should include all work experience. Even though it might seem unimportant to you it is valuable information. For example I worked at a day care when I was going through college the first time and then worked as a secretary/patient care assist...
  14. someone please clarify stage and tx

    First things first. Wound care is not like any other part of nursing in that there is not a set treatment for each type of wound. Most wounds will require a treatment plan to be adjusted multiple times before the wound heals. The are several steps in...
  15. Diapers, good or bad?

    The reason I do not recommend diapers are that most hold moisture and stool against the skin causing a multitude of problems from yeast, to excoriation, and ultimately ulcers. Most staff members do not take the time to find the appropriate size diape...